Author: Joshua Stilley, MD FACEP FAEMS; Medical Director, University of Missouri AmbulanceEditor: Michael DeFilippo, DO FAAEM; Assistant Professor of EM and EMS; Washington University at St. Louis School of Medicine In aviation, safety is built around the expectation that plans will sometimes need to change. Pilots train not only to execute procedures well, but to
Authors: William Freeman, MD (Emergency Medicine Resident Physician, WashU School of Medicine); Emma Altieri, MD (Obstetrics and Gynecology Resident Physician, WashU School of Medicine); James Li, MD (Assistant Professor of Emergency Medicine, WashU School of Medicine)Editor: Alex Blau, DO (EMS Physician, ChristianaCare Health System) Case 1: You are called as transport from OSH ED for
Author: Michael DeFilippo, DO Assistant Professor of EM and EMS – Washington University at St. Louis School of MedicineEditors: Aaron Lacy, MD Assistant Professor of EM – Washington University at St. Louis School of Medicine; Sarah E. Fabiano, MD, FACEP, FAAEM, FAEMS Clinical Associate Professor, Department of Emergency Medicine, Prisma Health–Upstate University of South Carolina School
Authors: Ingrid Bloom, MD, FACEP, FAEMS, is an associate professor of emergency medicine at Emory University, associate program director for the EMS fellowship at Emory and medical director for Grady EMS Academy. James Li, MD, MEd, FAEMS, is an assistant professor of emergency medicine at Washington University School of Medicine and is the program director
Author: Robert Skinner, MD; Assistant Professor of Emergency Medicine – University of Tennessee Health Science CenterEditor: Michael DeFilippo, DO; Assistant Professor of EM and EMS – Washington University at St. Louis School of Medicine Case: You’re on call for medical control for the day. You receive a call from a paramedic asking for orders for
Authors: Joshua Stilley, MD FACEP FAEMS; Medical Director, University of Missouri Ambulance and Jacquelyn Brown, NRP; Paramedic, University of Missouri AmbulanceEditor: Michael DeFilippo, DO; Assistant Professor of EM and EMS; Washington University at St. Louis School of Medicine In emergency medicine and EMS, we use many cognitive tools to enhance decision-making. One of the most
Author: Matt Olocco, MD; Emergency Medicine Resident Physician, WashU School of Medicine Editors: Alex Blau, DO, EMS Physician Fellow – ChristianaCare / Delaware Division of Public Health; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Editors’ Introduction:Accurate and timely pulse detection during cardiac arrest is critical for both guiding resuscitation
Author: Daniel Johnson, DO, FACEP; Assistant Professor, Department of Emergency Medicine, Life Lion EMS & Critical Care Transport, Penn State Health Milton S. Hershey Medical Center Editors: Alex Blau, DO; Michael DeFilippo, DO, Assistant Professor of EM & EMS, WashU School of Medicine Clinical Case The day after a snowstorm you are working for a
Author: Rachel O’Dell, MD; Washington University Emergency Medicine Residency Editor: Michael DeFilippo, DO As first-responders, EMS personnel are in a unique position to observe and categorize the setting and behaviors of children presenting with possible non-accidental trauma (NAT). However, children, and especially infants, pose a particular difficulty in identifying trauma due to their subtle presentation.
Author: Katie Stuart MD; Washington University Emergency Medicine Residency Editors: Sarah Fabiano MD, FACEP, FAAEM & Michael DeFilippo DO You are a second-year emergency medicine resident physician doing a ride along with a helicopter-based EMS (HEMS) agency. You are dispatched to the scene of a golf cart versus tree. The air crew successfully identifies a
